ZUÑ-MAR-53

Code
ZUÑ-MAR-53
Mercy ID
V-00948-01
Encounter Date
04/22/2002
Last
Zuñiga
First
María
DOB
12/07/1953
County
Other
Street
724 Burnett Ferry Rd.
City
Floyd
State
GA
Zip
30165-
Home
(706) 234-4344
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Limon
First
Saul
DOB
03/22/1951
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
YES
SOLO
No
Court Mandated
No
Program Completed
No
DFCS Mandated
No
Alcohol & Drug
No
Partner Referred to Tepestri
No
Recidivism/Court
No
New Incident
No
Promesa de Confidencialidad
No
Consentimiento De Participar
No

Petitioner

TPO
No
Stay Away Condition
No
Mutual
No

Defendant

TPO
No
Stay Away Condition
No
Mutual
No
Driver
YES
As A Child
No
Relative
No
Stranger
No
As An Adult
No
Partner
No
Relative
No
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Mariana 10/12/1992 Parents GA/USA
Mayra 05/18/1983 N/A California
Oscar 02/26/1984 Parents GA/USA
Saul 02/02/1982 Adulto/Casado GA/USA
Vanesa 10/03/1991 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Manzo
Data Entry
K. Aleman
Referred By
x7764 Ma. Eugenia